How much rates vary
Facilitymedian $1,995 · 10th to 90th $631 to $6,918Professionalmedian $1,318 · 10th to 90th $631 to $2,399
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 54 · Surgery only | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 78 · Unplanned return to OR | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | None | $630.96 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $478.63 | Professional | 54 · Surgery only | $467.74 | $467.74 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $446.68 |
BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $6,165.95 Typical High $12,302.69 | Facility | None | $3,388.44 | $6,165.95 | $12,302.69 |
BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,380.38 | $2,187.76 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,096.48 Typical High $1,737.80 | Professional | 54 · Surgery only | $812.83 | $1,096.48 | $1,737.80 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,148.15 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $851.14 | $1,148.15 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $3,090.30 | Facility | None | $1,023.29 | $1,584.89 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,659.59 Typical High $2,630.27 | Professional | None | $977.24 | $1,659.59 | $2,630.27 |
Health Partners Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $2,570.40 | Facility | None | $912.01 | $1,479.11 | $2,570.40 |
Health Partners Setting Professional Modifier None Typical Low $870.96 Median $1,548.82 Typical High $2,454.71 | Professional | None | $870.96 | $1,548.82 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,096.48 | $2,754.23 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $4,677.35 | Professional | None | $660.69 | $1,230.27 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $8,511.38 | Facility | None | $1,995.26 | $3,090.30 | $8,511.38 |
United Setting Professional Modifier None Typical Low $630.96 Median $1,096.48 Typical High $2,238.72 | Professional | None | $630.96 | $1,096.48 | $2,238.72 |
12 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 53 · Discontinued | $125.89 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
BCBS Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $12,022.64 Typical High $21,379.62 | Facility | 50 · Both sides | $6,456.54 | $12,022.64 | $21,379.62 |
BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $2,041.74 Typical High $3,311.31 | Professional | 50 · Both sides | $1,513.56 | $2,041.74 | $3,311.31 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $275.42 Typical High $436.52 | Professional | 55 · Aftercare only | $204.17 | $275.42 | $436.52 |
BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $630.96 Median $851.14 Typical High $1,318.26 | Professional | 62 · Two surgeons | $630.96 | $851.14 | $1,318.26 |
Where Minnesota sits
The same service costs 7.8 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 5th of 51
$1,380
AK $2,570TX $331
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.